Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.66 / $433.66 / $433.66	Facility		$433.66	$433.66	$433.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.65 / $198.28 / $379.77	Professional		$126.65	$198.28	$379.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.21 / $155.79 / $179.16	Professional		$140.21	$155.79	$179.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $215.64 / $378.95	Professional		$139.47	$215.64	$378.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.30 / $269.39 / $474.62	Professional		$231.30	$269.39	$474.62
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.47 / $228.95 / $417.77	Professional		$173.47	$228.95	$417.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.50 / $182.48 / $272.37	Professional		$163.50	$182.48	$272.37